MARK ANDREW PECKMAN (NPI# 1366437717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366437717 |
| Entity Type | Individual |
| Full Name | MARK ANDREW PECKMAN |
| Credential | DO |
| Practice Address |
750 E Park Ave Columbiana OH 44408-1448 |
| Mailing Address |
2525 Southeast Blvd Salem OH 44460-3464 |
| Practice Telephone | 3304823762 |
| Practice Fax Number | 3304823840 |
| Mailing Telephone | 3304823762 |
| Mailing Fax Number | 3304823840 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
34005181P | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0617176 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3622 Belmont Ave, Suite 1, Youngstown, OH 445051450 | 3307599350 | 3307599387 |
| Street Address |
750 E PARK AVE |
| City | COLUMBIANA |
| State | OH |
| Zip Code | 44408-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627010 | Barbara Thornberry | Audiologist | 750 E Park Ave, Columbiana, OH 44408-1448 | 2005-05-24 |
| 1609097971 | Vidya J Counto | Family Medicine | 750 E Park Ave, Columbiana, OH 44408-1448 | 2007-05-02 |
| 1770683658 | Libre Johnson | Family Medicine | 750 E Park Ave, Columbiana, OH 44408-1448 | 2006-09-22 |
| 1932139227 | Terrence Edward Zipfel | Specialist | 750 E Park Ave, Columbiana, OH 44408-1448 | 2006-07-03 |
| 1821035288 | Larry Keith Truzzie | Psychologist | 750 E Park Ave, Columbiana, OH 44408-1448 | 2006-06-02 |
| 1841280260 | Richelle Leigh Keleman | Pediatrics | 750 E Park Ave, Suite A, Columbiana, OH 44408-1448 | 2005-10-26 |
| 1154316719 | Janice Lynn Bremen | Family Medicine | 750 E Park Ave, Columbiana, OH 44408-1448 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942832084 | M1 Labs, LLC | Clinical Medical Laboratory | 1330 State Route 14, Columbiana, OH 44408 | 2020-02-06 |
| 1275736738 | Hearing Aids and Devices Inc | Hearing Aid Equipment | 905 St Rt 46, Columbiana, OH 44408 | 2007-06-11 |
| 1194933606 | Pm&r North, Inc. | Physical Medicine & Rehabilitation | 225 E State Route 14, Suite 206, Columbiana, OH 44408 | 2007-05-18 |
| 1558412817 | David M Vitko | Chiropractor | 840 E Park Ave, Columbiana, OH 44408 | 2007-01-15 |
| 1063579027 | Terry Jean Schreckengost | Licensed Practical Nurse | 14179 New Buffalo Rd, Columbiana, OH 44408 | 2007-01-02 |
| 1770662355 | Family Walgreen Drug Inc | Pharmacy | 120 S Vine St, Columbiana, OH 44408 | 2006-11-03 |
| 1336220003 | Homer L Skinner & Marc S Ucchino Ptrs | Family Medicine | 319 North Main Street, Main Medical Family Practice, Columbiana, OH 44408 | 2006-10-18 |
| 1447267984 | Lance R Peterson | Physical Therapist | 923 State Route 46, Columbiana, OH 44408 | 2006-08-01 |
| 1497757454 | Lori Anne Crowl | Family Medicine | 107 Royal Birkdale Dr, Columbiana, OH 44408 | 2005-06-02 |
| 1104304260 | Mercy Health Physicians Youngstown LLC | Clinic/Center | 107 Royal Birkdale Dr Ste A, Columbiana, OH 44408 | 2018-08-01 |
| Find all providers in zip 44408 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1558749770 | Mackenzie Pullee | Anesthesiology | 634 Sycamore St, Cincinnati, OH 45202-2535 | 2015-05-07 |
| 1366869380 | Pyramid Physician Services LLC | Anesthesiology | 2680 Indian Ripple Rd, Beavercreek, OH 45440-3605 | 2014-03-27 |
| 1790126084 | Hurricane Pain Management LLC | Anesthesiology | 174 Lake Bluff Dr, Columbus, OH 43235-4671 | 2013-07-15 |
| 1417218926 | Andrew Bernard Collins | Anesthesiology | 3333 Burnet Ave # Mlc4009, Cincinnati, OH 45229-3026 | 2012-05-31 |
| 1518259597 | Arion Alexander Smalley | Anesthesiology | 7759 University Dr Ste C, West Chester, OH 45069-6578 | 2011-05-09 |
| 1144529793 | Adil O. Katabay, Md, LLC | Anesthesiology | 4967 Silverton Way, Dublin, OH 43016-7443 | 2011-03-22 |
| 1568788909 | Lucasville Medical Specialist | Anesthesiology | 10940 State Route 104, Lucasville, OH 45648-8495 | 2010-04-09 |
| 1043464951 | Brandon Harris | Anesthesiology | 4881 Sugar Maple Dr # Drivea, Wright Pat, OH 45433-5529 | 2008-11-06 |
| 1598930711 | James Christopher Kelly | Anesthesiology | 222 N 5th St Ste 202, Martins Ferry, OH 43935-1582 | 2008-04-29 |
| Find all providers with the same taxonomy | ||||
| City | COLUMBIANA |
| Zip Code | 44408 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.